Provider Demographics
NPI:1508196544
Name:NJAU, EDITH WAMBUI
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:WAMBUI
Last Name:NJAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6860 SHARON CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1214
Mailing Address - Country:US
Mailing Address - Phone:614-891-8039
Mailing Address - Fax:
Practice Address - Street 1:6860 SHARON CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1214
Practice Address - Country:US
Practice Address - Phone:614-891-8039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-13
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH136415164W00000X
OH376640163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No163W00000XNursing Service ProvidersRegistered Nurse